2013, 06-20 Permit App BLD-2013-1158 DuplexSpokane
Valley
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
perm itcenter(a�spokanevalley.orq
RESIDENTIAL CONSTRUCTION PE
liNEW CONSTRUCTION
❑ DECK
SITE ADDRESS: C)
Project # 6(01—
MIT A • • WA
❑ ADDITION/REMODE
❑ OTHER
ASSESSORS PARCEL NO.: -5-/2 0 3 O ff, LEGAL DES
BUILDING OWNER NAME:
NAME:
ADDRESS: Po. 8o LL{ i3 a
Cm: D�nQ v/ 41
PHONE: R 2 3- l 33
CONTACT NAME: 4-grta
PHONE: -aq) �'j21 - re-(7
❑ ACC.ESSogriggILDING
SV PERMIT E 8
RIPTIQN:
tvic-
STATE: LO
FAx:C5O ) i2CI- '/ (
Fax: Cry) 92'(-
a
CONTRACTOR NAME: ��� Zvi
ZIP: 1Z/ f
CELL: (SD() ?(t(_ 917(
CELL:
MAILING ADDRESS:Ro •�� jj' ff(f�( -Mi3 ( 0
CITY: Sp ate V LUV,l
u // STATE: FLU A
PHONE: (T1 ) / 213- -' (-1 S+ FAX:` 0) 12 `- - -1 (o (,„mil
CONTRACTOR LICENSE No.:MN 14 -(t) EXPIRES: 3-i3- 14
ZIP: ll2�
�o�> l4"(—( /I
CITY BUSINESS LICENSE NO.: l (20S�o��i M
AI
CELL:
DESCRIBE THE SCOPE OF WORK IN D TAIL AND INDICATE USE & PROPOSED USE:
�a U\fGk.A3 ��Ov1i _- [Ie)e.
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:
D- iensio
' l] V 1
No. of tories:
/
Total Habitable
Space: , , ` ,
Main Flo SQ FT:
/ _ `-- ) Y Lam--
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT:
C ( .,,� .,
Deck/Covered Patio SQ
FT: ,1 el , t
Imperviou urface
Area: ( /
30% Slopes on
Property:
No. of Bedrooms: lj X?i
Construction Type: t} JOS-
Heat Source: 6qc-) i-c,. rcti0,
Sewer r Septic:
TOTAL COST OF PROJECT: $ 2-JD O\ &Q
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit Is for construction or on a dwelling, the dwelling Is/will
be served by potable water. 2) Ownership of this City of Spokane Valley permit inure to the property owner. 3) The signatory is the property
owner or has permission to represent th- .roperty owner in this transaction. 4) All construction is to be done in full compliance with the City of
Spokane Valley Development code. R- erenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valle permit is n t a permit .rlapproval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
informapmaa be require t. be sub tted and subsequently approved before this application can be processed.
Effective October 28, 2007 Page 1 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
ADD 10.28.07.doc
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